IYIOLA ODUEKUN


Address: 135 W 50th St, New York, NY 10020-1201
Phone: 2125821900

IYIOLA ODUEKUN (NPI# 1043654635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043654635
Entity Type Individual
Full Name IYIOLA ODUEKUN
Practice Address 135 W 50th St
New York
NY 10020-1201
Practice Telephone 2125821900
Mailing Telephone 2125821900
Enumeration Date 2013-04-25
Last Update Date 2020-10-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 681940 NY Nursing Service Providers
N 164W00000X Licensed Practical Nurse 313860 NY Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
403269 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2052 Tillotson Ave, Bronx, NY 104751560 7186712100

Office Location

Street Address 135 W 50TH ST
City NEW YORK
State NY
Zip Code 10020-1201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306887849 Bonnie Berkowitz Counselor 135 W 50th St, 6th Floor, New York, NY 10020-1201 2006-06-08
1720689003 Lynnette Brooks Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-11-04
1982204228 Tarandeep Kaur Marriage & Family Therapist 135 W 50th St, New York, NY 10020-1201 2020-10-27
1710586458 Kirk Linwood Rooks Community/Behavioral Health 135 W 50th St, New York, NY 10020-1201 2020-10-23
1609473537 Laurie Margolin Social Worker 135 W 50th St, New York, NY 10020-1201 2020-10-05
1598362493 Tatiana Maria Javier Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-10-04
1134726292 Maritsa L Corrielus Social Worker 135 W 50th St, New York, NY 10020-1201 2020-10-01
1922614296 Michelene Reid Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-09-21
1689289092 Fariha Sattar Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-09-11
1437764164 Richard Anthony Guiga Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275146342 Lynquita Bethea Registered Nurse 135 West 550th Street, New York, NY 10020 2020-08-28
1487278107 Frances Sevilla Behavioral Analyst 135th West 50th Street, New York, NY 10020 2020-05-29
1073031258 Tania M Debarros Social Worker 135 West 50th Street, Ny, Ny 10020, New York, NY 10020 2017-09-07
1356619571 Madeline Vargas Social Worker 135 W50th Street, 6th Flr, New York, NY 10020 2011-12-02
1821374448 Takenya Tanyette Benbow Residential Treatment Facility, Emotionally Disturbed Children 135 West 50th Street 6th Floor, Jewish Board of Family and Children Services, New York, NY 10020 2011-10-27
1023325495 Clifford Williams, D.m.d., P.C. Dentist 1 Rockefeller Plaza, Suite 2229, New York, NY 10020 2010-09-08
1902081524 Jewish Board of Family and Children's Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 135 West 50th St, 6th Floor, New York, NY 10020 2008-01-02
1881727899 Kimberly Meyers Physical Therapist 1221 Avenue of The Americas 49th St, New York, NY 10020 2007-03-13
1982740445 Darlene M Carrera Social Worker 135 W 50th Street, Suite 6, New York, NY 10020 2007-01-30
1275686032 Diane J Huntley Nurse Practitioner 1221 Avenue of The Americas Rm 50073, New York, NY 10020 2007-01-18
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1689227175 Marianna Garibaldi Nurse Practitioner 246 W 38th St Fl 10, New York, NY 10018-5805 2019-07-23
1235781535 Nathan Hanna Nurse Practitioner 6 E 39th St Ste 902, New York, NY 10016-0468 2019-07-16
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1952962227 Richard Callado Nurse Practitioner 245 5th Ave Ste 336, New York, NY 10016 2019-06-26
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Competitor

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City NEW YORK
Zip Code 10020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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